Surgical robotic systems with target trajectory deviation monitoring and related methods

Patent metadata

Field	Value
Publication number	US-12458453-B2
Application number	US-202117533539-A
Country	US
Kind code	B2
Filing date	Nov 23, 2021
Priority date	Jun 21, 2012
Publication date	Nov 4, 2025
Grant date	Nov 4, 2025

Abstract

A method may be provided to operate a surgical robotic system including a robotic arm configured to position a surgical end-effector with respect to an anatomical location of a patient. Position information may be received where the position information is generated using a sensor system remote from the robotic arm and remote from the patient. The position information may include position information relating to a tracking device affixed to the patient and position information relating to the surgical end-effector. The robotic arm may be controlled to move the surgical end-effector to a target trajectory relative to the anatomical location of the patient based on the position information generated using the sensor system.

First claim

What is claimed is:

1 . A method of operating a surgical robotic system including a robotic arm configured to position a surgical end-effector with respect to an anatomical location of a patient, the method comprising:
accessing a model of movement of the anatomical location relative to a tracking device affixed to a patient for a plurality of phases of a breathing cycle wherein the model provides a plurality of offsets of the anatomical location relative to the tracking device so that a respective one of the plurality of offsets is associated with a respective one of the plurality of phases of the breathing cycle; receiving position information generated using a sensor system remote from the robotic arm and remote from the patient, wherein the position information includes information relating to positions of the tracking device affixed to the patient and positions of the surgical end-effector as the tracking device moves due to the patient breathing; detecting the plurality of phases of the breathing cycle as the tracking device moves due to the patient breathing; and controlling the robotic arm to maintain the surgical end-effector at a target trajectory relative to the anatomical location of the patient as the tracking device moves due to the patient breathing, wherein the controlling is based on receiving the position information, detecting the plurality of phases, and using the plurality of offsets to determine locations, relative to the robotic arm, of the anatomical location as the tracking device moves due to the patient breathing.

2 . The method of claim 1 , wherein the model provides a first offset of the anatomical location relative to the tracking device that is used to determine the target trajectory for a first phase of a breathing cycle and a second offset of the anatomical location relative to the tracking device that is used to determine the target trajectory for a second phase of the breathing cycle, wherein controlling the robotic arm comprises,
controlling the robotic arm to maintain the surgical end-effector at the target trajectory relative to the anatomical location of the patient based on first position information generated using a sensor system and based on using the first offset to determine a first location of the anatomical location from a first position of the tracking device responsive to detecting the first phase of the breathing cycle, and controlling the robotic arm to maintain the surgical end-effector at the target trajectory relative to the anatomical location of the patient based on second position information generated using a sensor system and based on using the second offset to determine a second location of the anatomical location from a second position of the tracking device responsive to detecting the second phase of the breathing cycle.

3 . The method of claim 1 , wherein receiving position information includes receiving position information of the end effector from a plurality of tracking sensors spaced around an external surface of the end effector.

4 . The method of claim 1 , wherein receiving information includes receiving position information of the end effector from a plurality of infrared transmitters spaced around an external surface of the end effector.

5 . The method of claim 1 , wherein the movement model of the anatomical location stores the plurality of offsets in a lookup table, and the method determines locations of the anatomical location using the lookup table.

6 . The method of claim 1 , further comprising automatically inserting a medical instrument coupled to the end effector while the robotic arm is maintaining the surgical end-effector at the target trajectory.

7 . The method of claim 1 , further comprising automatically inserting a biopsy needle coupled to the end effector while the robotic arm is maintaining the surgical end-effector at the target trajectory.

8 . A method of operating a surgical robotic system including a robotic arm configured to position a surgical end-effector with respect to an anatomical location of a patient, the method comprising:
accessing a movement model of the anatomical location relative to a tracking device affixed to a patient, the movement model storing a plurality of offsets of the anatomical location for each of a plurality of phases of a breathing cycle; receiving position information generated using a sensor system remote from the robotic arm and remote from the patient, wherein the position information includes information relating to positions of the tracking device affixed to the patient and positions of the surgical end-effector; detecting the phases of the breathing cycle as the tracking device moves due to the patient breathing; determining the locations, relative to the robotic arm, of the anatomical location based on the detected phases and the accessed movement model; and maintaining the end effector at a target trajectory relative to the anatomical location of the patient as the tracking device moves due to the patient breathing based on the determined locations of the anatomical location.

9 . The method of claim 8 , wherein receiving position information includes receiving position information of the end effector from a plurality of tracking sensors spaced around an external surface of the end effector.

10 . The method of claim 8 , wherein receiving information includes receiving position information of the end effector from a plurality of infrared transmitters spaced around an external surface of the end effector.

11 . The method of claim 8 , wherein the movement model of the anatomical location stores the plurality of offsets in a lookup table, and the method determines locations of the anatomical location using the lookup table.

12 . The method of claim 8 , further comprising automatically inserting a medical instrument coupled to the end effector while the robotic arm is maintaining the surgical end-effector at the target trajectory.

13 . The method of claim 8 , further comprising automatically inserting a biopsy needle coupled to the end effector while the robotic arm is maintaining the surgical end-effector at the target trajectory.

Assignees

• Globus Medical Inc

Inventors

• Forsyth Jeffrey
• Crawford Neil
• Ocasio Jovany
• Robinson Michael

Classifications

• A61B2090/3762

  using computed tomography systems [CT] · CPC title

• A61B2017/00699

  correcting for movement caused by respiration, e.g. by triggering · CPC title

• A61B2034/2068

  using pointers, e.g. pointers having reference marks for determining coordinates of body points · CPC title

• A61B2090/3966

  Radiopaque markers visible in an X-ray image · CPC title

• A61B2090/376

  using X-rays, e.g. fluoroscopy · CPC title